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REPHANA MEDICAL GROUP
NPI 1659414258
Internal Medicine in Santa Monica, CA

Active since February 14, 2007CLIA 05D1004698 · Waiver
1304 15TH ST STE 402, SANTA MONICA, CA 90404(310) 451-0111 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rephana Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REPHANA MEDICAL GROUP (NPI 1659414258) is a healthcare organization registered as an internal medicine in Santa Monica, California and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through October 2, 2026 and lists Neal Shanblatt, President, as its authorized official.

NPPES Registry Identity

NPI1659414258
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameREPHANA MEDICAL GROUP
Location Address1304 15TH ST STE 402Santa Monica, CA 90404-1813
Mailing Address5850 W 3rd St # 132Los Angeles, CA 90036-2860 · (310) 451-0111
Phone(310) 451-0111
Organization SubpartNo
Authorized OfficialNeal ShanblattPresident · (310) 451-0111
Enumeration DateFebruary 14, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1659414258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A64647
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1304 15TH ST STE 402, Santa Monica, CA 90404
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Other Identifiers 1

Medicaid00A646470CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1004698

Rephana Medical Group Inc · Santa Monica, CA
Active · expires Oct 2, 2026
CLIA Number05D1004698
Laboratory TypePhysician Office
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorNeal Shanblatt MD
Laboratory Phone(310) 451-5684
Laboratory LocationRephana Medical Group Inc1304 15th Street, Suite 402, Santa Monica, CA 90404
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NEAL SHANBLATT M.D.
Internal Medicine
1304 15TH ST STE 402
SANTA MONICA, CA 90404
Los Angeles County (310) 451-0111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rephana Medical Group's NPI number?

The NPI number for Rephana Medical Group is 1659414258. It was assigned to this organization in the NPPES registry on February 14, 2007.

Where is Rephana Medical Group located?

Rephana Medical Group is located at 1304 15th St Ste 402, Santa Monica, CA 90404. The listed phone number is (310) 451-0111.

What is Rephana Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Rephana Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1004698) is associated with this NPI, valid through October 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rephana Medical Group was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.